YE OLDE MEDICINE SHOPPE
NPI: 1720020324
· PARK RIVER, ND 58270
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
21 |
21 |
$0.00 |
| G0008 |
Admin influenza virus vac |
21 |
21 |
$0.00 |